while intending to bolster patient autonomy, self-determination and self-management, may
overwhelm patients and counter-intuitively reinforce the paternalistic relationship selfadvocacy
is intended to overturn (Feeg 1995).
This concept analysis aims to: 1) define the phenomenon of self-advocacy in the context of
cancer survivorship; 2) differentiate this meaning from related concepts; and 3) create a
unified understanding of the concept in cancer practice and research.
‘Concepts’ are mental representations of reality used to represent a human phenomenon. The
exploration of a concept establishes its essential components to provide research and clinical
clarity. Multiple methods of concept analysis exist, most based on Wilson’s method of
defining concepts (1963). We used Walker and Avant’s methodology to discover how the
meaning of self-advocacy developed and to produce a shared, common meaning of the
phenomenon of self-advocacy. This analytic style includes eight steps (Table 1) intended to
streamline an abstract idea into a more tangible concept that can be universally applied and
understood (Walker & Avant 2010). Beginning with a broad inquiry into the concept’s
wide-ranging uses and essential aspects, the resulting conception of self-advocacy provides
clear definition of the concept for use in the literature. To overcome critiques that this
approach is reductionist (Morse 1995), Risjord 2009, Rogers 2005), real-world exemplars
are employed as model and contrary examples of self-advocacy to illustrate the concept’s
definition and highlight its complexities and uniqueness in this patient population (Duncan
et al. 2007). Knowingly, concepts are expected to change and the result of this analysis will
not be a finished product, but one anticipating future iterations.
while intending to bolster patient autonomy, self-determination and self-management, may
overwhelm patients and counter-intuitively reinforce the paternalistic relationship selfadvocacy
is intended to overturn (Feeg 1995).
This concept analysis aims to: 1) define the phenomenon of self-advocacy in the context of
cancer survivorship; 2) differentiate this meaning from related concepts; and 3) create a
unified understanding of the concept in cancer practice and research.
‘Concepts’ are mental representations of reality used to represent a human phenomenon. The
exploration of a concept establishes its essential components to provide research and clinical
clarity. Multiple methods of concept analysis exist, most based on Wilson’s method of
defining concepts (1963). We used Walker and Avant’s methodology to discover how the
meaning of self-advocacy developed and to produce a shared, common meaning of the
phenomenon of self-advocacy. This analytic style includes eight steps (Table 1) intended to
streamline an abstract idea into a more tangible concept that can be universally applied and
understood (Walker & Avant 2010). Beginning with a broad inquiry into the concept’s
wide-ranging uses and essential aspects, the resulting conception of self-advocacy provides
clear definition of the concept for use in the literature. To overcome critiques that this
approach is reductionist (Morse 1995), Risjord 2009, Rogers 2005), real-world exemplars
are employed as model and contrary examples of self-advocacy to illustrate the concept’s
definition and highlight its complexities and uniqueness in this patient population (Duncan
et al. 2007). Knowingly, concepts are expected to change and the result of this analysis will
not be a finished product, but one anticipating future iterations.
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